Registered Nurse - Med Surg - Nights

It's more than a career, it's a calling. MO-SSM Health Saint Louis University Hospital

The Registered Nurse is a professional practitioner who assesses, manages, directs, and provides nursing care activities during the patient's hospital stay and coordinates planning with other disciplines utilizing a patient/customer-driven approach.

• Perform comprehensive nursing assessment/reassessment
  • Age‑appropriate admission assessment or transfer assessment, obtaining input from family/guardian when appropriate.
  • Accurately and completely document findings.
  • Assessment of post‑op/post‑invasive procedure patients.
  • Assess and document education and discharge needs on admission and throughout hospitalization.
  • Provide patient reassessment, documenting pertinent observations according to the patient plan of care, changes in condition, status, diagnosis, response to care, procedures, and standards of care.
• Establish, coordinate, and evaluate a plan of care based on assessment data, patient diagnosis, lab data, tests, procedures, physician orders, protocols, and standards of care.
  • Identify short and long‑term goals based on patient care needs.
  • Formulate nursing interventions to achieve desired patient outcomes.
  • Incorporate disease‑specific evidence‑based practice into the nursing care plan and other documentation.
• Provide and document nursing interventions based on assessed patient needs, plan of care, and changes in patient status.
  • Collaborate with appropriate health team members for daily plan of care coordination.
  • Provide, coordinate, and communicate patient care, including accurate hand‑off communication reports.
  • Administer and document medications accurately according to policies and procedures.
  • Monitor, maintain, and document accurate IV fluids and parenteral nutrition per policies and procedures.
  • Complete referrals as indicated by assessment data.
  • Request consultation for special needs, equipment, or information for patient and/or family.
  • Provide patient/family education and discharge planning per documentation guidelines and protocol.
  • Clarify physician orders as warranted and acknowledge all orders in a timely manner.
  • Assist physician with procedures/treatments or delegate to Care Partner as appropriate.
  • Document “readback” for all telephone/verbal orders and take orders only in emergency situations.
  • Recognize changes in patient’s condition, involve family/guardian as appropriate, and take appropriate nursing actions.
  • Recognize risks and incorporate infection control practices into daily care.
    • Use usage of safe patient handling techniques and equipment.
• Document and/or communicate nursing care and changes in patient condition.
  • Perform ongoing evaluation of care effectiveness via assessment data, interventions, patient response to medications, treatments, and procedures.
  • Evaluate the effectiveness of patient/family education.
  • Modify plan of care as indicated.
  • Report significant changes in patient’s clinical parameters to physicians and others immediately.
  • Identify problems, gather data, suggest solutions, and work toward resolution.
  • Report variations from care/treatment following occurrence reporting policy and procedures.
    • Report variations to care/treatment following the occurrence reporting policy and procedure.
• Specialized care for high‑risk patients
  • Restraint care: initiate/evaluate alternatives, apply restraints per procedure, monitor patient response, provide timely care, consult peers, and document restraint use.
  • Pain management: assess pain, incorporate cultural/spiritual beliefs, implement techniques, involve family, and consider non‑pharmacologic methods.
  • Abuse assessment: recognize signs, report to relevant authorities, and act to maintain patient safety.
    • Demonstrate accountability for own professional practice.
• Demonstrate accountability for quality and performance standards, policies, procedures, protocols, and professional competence through participation in learning experiences and maintaining currency in all hospital/unit information.
• Provide cost‑effective services and maintain a safe workplace, practicing infection prevention, reporting risk management concerns, and completing mandatory annual…